Provider Demographics
NPI:1013725860
Name:RAYMA HEALTH PLLC
Entity type:Organization
Organization Name:RAYMA HEALTH PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ALICIA ANASTASIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HICKSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD,PA,NP,DO
Authorized Official - Phone:763-299-7111
Mailing Address - Street 1:202 N CEDAR AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:OWATONNA
Mailing Address - State:MN
Mailing Address - Zip Code:55060-2306
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5810 BAKER RD STE 100
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55345-5941
Practice Address - Country:US
Practice Address - Phone:763-299-7111
Practice Address - Fax:612-416-0053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-26
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center